評論
打印
Part eight
第八章
Post-operative Care
手術后的處理
How do you do, Mrs. Waters? The Doctor will see you now.
沃特絲太太，你好。醫生現在給你看病。
Hello Mrs. Waters. How are you feeling? Is there any discomfort?
沃特絲太太，你好。感覺如何？ 有什么不舒服嗎？
No, I don't feel any pain.
沒有感到痛 。
Good. Please sit down and let me look.
好。請做下來讓我看一看。
The gum is healing normally. I'll take out the sutures. This won't bother you.
牙齦已正常的康復。我給你拆線吧， 不會難受的。
Should I come back to have you check it again?
我還要不要再來一次。
Not unless you have trouble. Call me if you have pain or swelling.
用不著， 除非有問題。要是疼或腫的話告訴我吧 。
When should I make another appointment?
下次預約該什么時候？
I think that you should wait at least two weeks before I make another appointment with you.
我想還是得等上至少兩個星期才能預約下一次的。
You haven't had a complete X-ray series (full mouth set of X-rays) for two years.
你已經有兩年不曾照過X光片了。
I'll ask my hygienist to take the X-rays today, if you have time. You should also have your teeth cleaned.
如果你有時間的話，我叫助手給你今天照X光片。你還要洗洗牙。
Thank you, Doctor.
謝謝你， 醫生。
You're welcome. Miss Jones will make an appointment for you. I'll see you in about two weeks.
不用謝， 瓊絲小姐會跟你預約好的。過兩周再見吧。
How do you make a diagnosis o a localized osteitis (dry socket) after an extraction?
你是如何診斷拔牙后的局部性骨炎的？
Severe pain is the most important symptom in a patient's that's having complications.
病人凡是得了并發癥的其重要的特征就是疼得要命。
A dry socket will usually occur three or more days after an extraction.
干槽癥通常是在拔牙的后三天或者長些時候發生的。
If the pain is severe and if aspirin isn't effective for controlling the pain;
假如疼的厲害，阿司匹林是起不了作用的，
it's very likely that an osteitis has developed.
那么就很可能得了骨炎。
How do you treat an osteitis, Doctor?
醫生， 骨炎怎樣治療？
An osteitis is very easy to treat.
骨炎很容易治療。
I use a strip of iodoform gauze that has been cut to the correct size to fill the extraction socket.
可以用一塊碘仿的大小正好的紗布，填進拔了牙的牙槽里，
I dampen the gauze with a small amount of eugenol and insert it into the extraction site.
然后將紗布沾上少量丁香酚，塞到拔了牙的地方。
What does this do, Doctor?
醫生，這樣起什么作用呢？
This does three things;
有三點作用：
1. It reduces or eliminates the pain.
止疼
2. It has an antibiotic effect.
起抗生素的作用
3. It keeps food from packing into the open, healing socket.
防止食物進到空的，正在康復中的牙槽里。
What about removing the dressing? What procedure do you follow?
怎樣把塞進去紗布取出來呢？然后怎樣做？
I'll ask the patient to return on the next day so that I can remove the dressing and irrigate the socket with sterile saline solution.
我會叫病人第二天回來，由我給他把塞進去的紗布取出來，用已消過毒的生理鹽水洗靜牙槽。
Then, I replace the dressing.
然后換上紗布。
I'll repeat this procedure daily or every other day for seven to ten days.
以后在7到10天內每天或每隔一天照樣處理一次。
